| | | | | | The Medical Algorithms Project |
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| Chapter : | ch24. Parasitology & Medical Entomology | Section : | Malaria | | Recommendations of Maitland et al for Glucose and Electrolyte Correction in a Pediatric Patient with Severe Malaria | | Copyright (c) 2006-2007, Institute for Algorithmic Medicine, Houston, TX, USA. All rights reserved. |
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Overview :
Maitland et al listed measures for correcting abnormal glucose
and elelctrolyte concentrations in pediatric patients with severe malaria. The
authors are from the Kenya Medical Research Institute, Wellcome Trust, St.
Mary's Hospital (London), University of Oxford and University of Sussex.
Parameters measured:
(1) glucose
(2) potassium
(3) total calcium
(4) magnesium
(5) phosphate
|
Parameter |
Correct
If |
|
glucose |
< 3.0 mmol/L (54 mg/dL) |
|
potassium |
< 3.5 mmol/L (3.5 mEq/L) |
|
total calcium |
< 2.0 mmol/L (8.0 mg/dL) |
|
magnesium |
< 0.75 mmol/L (1.82 mg/dL) |
|
phosphate |
< 0.7 mmol/L (2.17 mg/dL) |
|
Parameter |
Parenteral
Correction Protocol |
|
glucose |
10% dextrose, 5 mL * (body wgt in kg) |
|
potassium |
(0.25 mmol * (body wgt in kg)) over 30 minutes |
|
total calcium |
10% calcium gluconate, (0.3 mL * (body wgt in kg)) over 30
minutes |
|
magnesium |
50% magnesium sulfate, (0.2 mL * (body wgt in kg)) over 30
minutes |
|
phosphate |
sodium phosphate, (0.2 mmol * (body wgt in kg)) over 30
minutes |
| | References: | |
Maitland K,
Nadel S, et al. Management of severe malaria in children: proposed guidelines
for the United Kingdom. BMJ. 2005; 331: 337-343 (Table 2, page 341).
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